Infection Prevention and Control Manual
Over 200 policies that address administrative, patient-centered, employee and oversight functions of the Infection Preventionist and the Infection Prevention and Control Committee.
Download a sample of this manual
Own this manual?
Sign in
SECTION 01 - INFECTION PREVENTION AND CONTROL PROGRAM
Infection Prevention and Control Program
Infection Prevention and Control ProgramInfection Risk AssessmentDefinitionsInfection Prevention and Control Committee - Organization and FunctionInfection Prevention and Control Committee - AuthorityPosition Description/Performance Evaluation - Infection PreventionistPerformance Evaluation - Population-Specific/Age-Related Competency - Infection PreventionistAnnual Competency Clinical Skills Assessment - Infection PreventionistInfection Prevention and Control Incident TrackingReporting of Lab Results Indicating an Infection to the Receiving Healthcare OrganizationDepartment-Specific Infection Prevention and Control ResponsibilitiesSanitary Environment PolicyStorage of Items Under SinksTB Risk Assessment WorksheetCDC Checklist for SARS Preparedness in Healthcare FacilitiesConstruction/Renovation GuidelinesInfection Control Risk Assessment for Construction Projects FormConstruction Rounds Compliance Monitor FormInfection Prevention and Control PlanSurveillance PlanMethods of SurveillanceInfection Control - Infection Review Report FormInfection Control - Monthly Surveillance Report FormInfection Control Statistics - Quarterly Report FormEnvironmental CulturingComponents of a Protective EnvironmentResponse to an Influx of Infectious Patients
Bioterrorism Plan
Performance Improvement
Performance Improvement PlanSurgical Site Infections PI Monitoring and Evaluation PlanPI Outcome Monitoring - Reduce the Risk of Healthcare Associated InfectionsPI Outcome Monitoring - Reduce the Risk of Influenza and Pneumococcal DiseaseInfection Prevention and Control PI Trending SheetHand Hygiene/Glove Use Observation FormPatient Safety PlanSentinel EventConducting Root Cause Analysis
Staff Education
New Employee Infection Prevention and Control OrientationInfection Prevention and Control - New Employee Orientation Outline (Sample Form)Medical Equipment Management - Orientation/EducationInfection Prevention and Control - InservicesPersonal Protective EquipmentPersonal Protective Equipment - TrainingOrder for Putting On and Removing PPEComponents of TB Training and Education Program for Healthcare Workers
SECTION 02 - EMPLOYEE HEALTH
Employee Health ProgramIllness ReportingEmployee Absence Report FormEmployee Incident ReportingWorkplace Injury, Illness or Fatality ReportingPre-Employment Physical ExaminationPre-Employment Physical Examination Instruction SheetEmployee Reporting and Work Restrictions Due to Exposure to Communicable DiseasesHealthcare Staff Vaccination RecommendationsImmunization Status of EmployeesMeasles, Rubella and Varicella Disease Screening - StaffVaricella ZosterBordetella PertussisHepatitis B Vaccine ProgramInformed Consent for Hepatitis B Vaccine FormHepatitis B Vaccine Declination FormTB - Exposure Control PlanAnnual Employee TB ScreeningHealth Questionnaire for Positive Tuberculosis Skin Test ReactionsBaseline and Follow-up Testing for M. Tuberculosis InfectionInfluenza Vaccination Program for Healthcare StaffInfluenza Immunization Program for Healthcare Staff - Monthly Implementation ChecklistHealthcare Staff Influenza Vaccination Immunization RatesN95 Fit-TestingInfection Prevention and Control Considerations for Pregnant EmployeesLatex Allergy Prevention and Management in Healthcare WorkersStaff Latex SensitivityLatex Allergy Assessment FormNotification Requirements for Emergency Response Employees' Infectious Diseases ExposureSuggested Guidelines for Work Restrictions for Staff with Infectious Diseases
SECTION 03 - BLOODBORNE PATHOGENS AND EXPOSURE CONTROL PLAN
Exposure Control PlanSharps Injury Protection PlanSharps Injury Log FormDisposal of SharpsManagement of Accidental Blood or Body Fluid Exposure/ContaminationAccidental Exposure to Blood/Body Fluids - Emergency Department Medical Evaluation FormAccidental Exposure to Blood/Body Fluids - Employee Follow-Up Instruction SheetCDC - Summary of Recommendations for Immediate Prophylactic InterventionCDC - Recommended Postexposure Management by Risk Category and Specific PathogenDefinition of Biohazardous WasteHandling of Biohazardous Waste
SECTION 04 - PATIENT CARE
Infection Prevention and Control Considerations for Patient Room AssignmentsAdmission of a Patient with a Communicable DiseaseNationally Notifiable Infectious DiseasesQuarantinable DiseasesPatient Visitation ManagementInfection Prevention and Control - Communication with Off-Site Interpretive Reading ProvidersStandard PrecautionsHand Hygiene - CDC GuidelinesRecommendations for Hand HygieneAlcohol-Based Hand Rub (ABHR) - Gel (Placement and Permissible Volumes)Respiratory Hygiene/Cough Etiquette in Healthcare SettingsTransmission-Based Precautions (Isolation Precautions)Airborne Infection Isolation Rooms (AIIRs) and Other Negative Pressure RoomsEducation of Patient and FamilyInfection Prevention and Control - Patient EducationManagement of Multidrug-Resistant Organisms in Acute Care SettingsClostridium difficile (C. difficile)Carbapenem-Resistant Enterobacteriaceae (CRE)Escherichia Coli O157:H7 and Other Shiga Toxin-Producing Escherichia Coli (STEC)MRSA, VRE ScreeningManagement of Patients with Methicillin Resistant Staphylococcus Aureus (MRSA)Community-Associated MRSA Infections - Fact Sheet for the WorkplaceCentral Venous Lines and PICC Lines Bundle - Insertion ofCentral Venous Catheter and PICC Line Time Out ChecklistWhat You Need to Know About Central Line Infections (CLI)Central-Line Associated Bloodstream Infections - SurveillanceCatheter-Associated Urinary Tract Infection Prevention ProgramCatheter-Associated Urinary Tract Infections - SurveillanceInfection Prevention and Control - Catheter-Associated Urinary Tract Infection PI Trending SheetIndwelling Urinary Catheter Insertion and Maintenance - Female PatientIndwelling Urinary Catheter Insertion and Maintenance - Male PatientHCV Testing and Management ofManagement of NorovirusNorovirus Outbreak - Cleaning and DisinfectionTransmission-Based Precautions - MumpsSevere Acute Respiratory Syndrome Coronavirus (SARS-CoV)SalmonellaAdministering the Tuberculin Skin Test (TST)Overview of Multidrug-Resistant Tuberculosis (MDR TB)Overview of Extensively Drug-Resistant Tuberculosis (XDR TB)Treatment of Latent Tuberculosis InfectionAirborne Precautions for TuberculosisManagement of the Patient with West Nile VirusVentilator BundleVentilator Bundle ChecklistVentilator Maintenance/Monitoring - Recommended ParametersInfection Prevention and Control - Labor and DeliveryHBsAg and Prophylaxis to the NeonateHospital Report Form - Perinatal Hepatitis BRubella VaccinationHIV Antibody Test and ResultsConsent for the HIV Test (Sample Form)Authorization for Disclosure of the Results of the HIV Antibody Blood Test (Sample Form)Infection Prevention and Control - Nursing ServicesPostmortem CareInfection Prevention and Control Measures - Surgical ServicesPatient and Family Education - Surgical Site InfectionsAntibiotic AdministrationSkin Preparation ProtocolAsepsisSurgical Wound ClassificationsCreutzfeldt-Jacob Disease PrecautionsAttire in the Operating RoomSurgical Hand ScrubAlcohol-Based Antiseptic Surgical Hand RubGowning and Gloving TechniqueClosed Gowning and Gloving TechniqueOpen Gloving TechniqueTraffic Patterns in the Surgical SuiteSelection of Barrier Materials for Surgical ProceduresEvent-Related Shelf Life - Sterile StorageFlash SterilizationReprocessing of Single-Use DevicesVisitor ControlVisitors in the PACUInfection Prevention and Control - Volunteer ServicesInjection Safety PracticesPneumococcal Polysaccharide Vaccination (PPV)Patient Immunization Record FormService AnimalsUse of Ultrasound Gel ProductsCDC - Type and Duration of Precautions Recommended for Selected Infections and Conditions
SECTION 05 - PANDEMIC INFLUENZA
Definitions of Flu TermsPandemic Influenza - General OverviewPandemic Planning AssumptionsOverview of Influenza VirusesRapid Influenza Diagnostic TestsInfluenza VaccinationInfluenza and Pneumococcal Vaccine Standing OrdersManaging Influenza OutbreaksInfection Prevention and Control Procedures During an Influenza PandemicPatient Transport During an Influenza PandemicUse of Masks and Respirators During Influenza - CDC RecommendationsType A Influenza Outbreak Planning and Preparedness Risk Assessment Tool For Healthcare FacilitiesPatient and Family Education Handout - Precautions During A Flu PandemicCDC - Clean Hands Save Lives! Flyer
SECTION 06 - DEPARTMENT-SPECIFIC ENVIRONMENT OF CARE POLICIES
Infection Prevention and Control - AdmittingRegistration of Patients with Known Multi-Drug-Resistant OrganismsInfection Prevention and Control - AnesthesiaInfection Prevention and Control - Cardiac RehabilitationInfection Prevention and Control - Cardiopulmonary ServicesInfection Prevention and Control - Central ServiceInfection Prevention and Control - Clinical Laboratory/PathologyInfection Prevention and Control - Emergency DepartmentInfection Prevention and Control Overview for Environmental ServicesCleaning Supplies and ChemicalsClean-Up of Blood SpillsComputer Keyboard Infection ControlCleaning Patient Room - OccupiedCleaning Patient Room - Discharge/TransferCleaning Isolation Patient Room - OccupiedCleaning Isolation Patient Room - Discharge/TransferElectronic Medical Equipment MaintenanceInfection Prevention and Control - LaundryPest ControlInfection Prevention and Control - GI LaboratoryHigh-Level Disinfection of EndoscopesGlutaraldehyde MonitoringGlutaraldehyde PrecautionsContamination of Medical Records by Blood/Body FluidsInfection Prevention and Control - Imaging ServicesPortable Imaging in an Isolation RoomPatient on Transmission PrecautionsDepartment Cleaning Procedure - Imaging ServicesInfection Prevention and Control - General Procedures - Labor and DeliveryInfection Prevention and Control - Materials ManagementInfection Prevention and Control - NurseryInfection Prevention and Control - Nutritional ServicesCafeteria Infection Prevention and ControlCleaning of Vending MachinesIceCleaning Special EquipmentInfusion Pumps - Equipment Inspection, Care and MaintenanceInfection Prevention and Control - Patient Care UnitsInfection Prevention and Control - Pediatric UnitCleaning ToysGuidelines for Sibling VisitationInfection Prevention and Control - PharmacyAir Quality ChecksAttest Biological Indicator UseCritical SitesAntimicrobial Susceptibility ReportMicrobiological Testing of IV Solutions - Infection Prevention and ControlInfection Prevention and Control - Post Anesthesia Care UnitCare of Immunosuppressed PatientsAttire in the PACUInfection Prevention and Control - PostpartumInfection Prevention and Control - Rehabilitation ServicesHydrotherapy Tank and Pool CleaningInfection Prevention and Control - Sleep LabCleaning the Surgery Department